Pain management covers a wide range of treatments for acute and chronic pain, and modern options expand your options. Some methods target nerves directly, and others work on damaged tissue. Since each person’s pain has different causes, providers often combine several approaches. Here are four modern pain management options in plain terms:
Platelet-rich Plasma
Platelet-rich plasma (PRP) comes from your own blood. A provider draws a small sample and spins it in a centrifuge, which separates the platelets. The concentrated platelets contain growth factors, and the provider injects them into the painful area. PRP injections typically target:
- Knee osteoarthritis
- Tendon injuries, such as tennis elbow
- Rotator cuff strains
- Plantar fasciitis
Results vary from person to person, and some patients need two or three sessions. Most sessions at a pain management clinic are quick. Because PRP uses your own blood, allergic reactions are rare. Providers often recommend rest and fewer anti-inflammatory drugs after each injection.
Spinal Cord Stimulators
A spinal cord stimulator is a small implanted device, and it sends mild electrical pulses to the spinal cord. These pulses change pain signals before they reach the brain. Doctors often recommend this pain managment device for chronic back, leg, or nerve pain. Newer models offer rechargeable batteries and MRI compatibility.
Before a doctor places a permanent implant, most patients complete a trial lasting five to seven days. During the trial, thin leads connect to an external battery. You track your pain levels each day, and your doctor reviews the results afterward to form an opinion.
If the trial goes well, a surgeon places the device under the skin during a short outpatient procedure. Most people return home the same day, and recovery usually takes a few weeks. Patients adjust stimulation settings with a handheld remote.
Epidural Injections
An epidural steroid injection delivers anti-inflammatory medicine near irritated spinal nerves. Doctors use this treatment when a herniated disc or spinal stenosis causes radiating pain. The steroid reduces swelling, and a numbing agent often provides short-term relief. Targets include the lower back and neck, and a doctor uses X-ray guidance to place the needle. Relief may last weeks or months, although the length differs for each person. Providers may limit injections to a few per year.
Transcutaneous Electrical Nerve Stimulation
Transcutaneous electrical nerve stimulation (TENS) uses a small unit that sends low-voltage current through pads on your skin. The current stimulates nerves, and it may block pain signals. You control the intensity, and you place the pads according to your provider’s instructions. Some people use TENS units at home between clinic visits. While some units offer heat or massage settings, the main uses for TENS include:
- Back pain
- Neck and shoulder tension
- Arthritis pain
- Muscle soreness after exercise
Find a Pain Management Clinic
When you compare clinics, look at each one’s credentials, treatment range, and safety protocols. Board-certified pain specialists perform procedures such as epidurals and stimulator implants. Ask about pre- and post-care instructions, and request a written treatment plan. Bring a list of your medications and past treatments to your first consultation at a pain management clinic.